Dr Jills Chiropractic Care Center PLLC
Organization Active NPI Chiropractor · Fletcher, OK
NPI 1891990883 · NPPES record last updated Apr 2, 2021
Key facts
- NPI
- 1891990883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3187 (OK)
- Legal business name
- DR JILLS CHIROPRACTIC CARE CENTER PLLC
- Practice address
- 102 N Central
Fletcher, OK 73541 - Phone
- (580) 549-6932
- Fax
- (580) 549-6057
- NPI assigned
- Jun 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jill A Herring, D.C.
- Title
- D.C./ Manager
- Phone
- (580) 549-6932
Practitioners 4
-
Jill A. Herring, D.C.
-
Adrianna Warren, D.C.
-
Vonda Jean Romero, D.C.
-
Lavilia Toussaint, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050812001015 | OK | Part B Supplier - Clinic/Group Practice | 7113957887 |
Receives reassigned benefits from 2 practitioners Practice locations: Fletcher, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3187 | OK | Yes |
Addresses
Primary practice location
102 N Central
Fletcher, OK 73541
Mailing address
PO Box 754
Elgin, OK 73538-0754
Phone (580) 549-6932
Other providers in Fletcher, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.